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- W628973886 abstract "This document describes an operations research field study designed to increase the contraceptive prevalence rate among couples in northeastern Thailand by providing them with counseling services. Focus group discussions were held in selected villages to provide information about contraception-related fears and concerns as well as contraception use patterns and a training program for health workers was designed to impart counseling skills. It was hypothesized that the village-level counseling program would decrease fears about contraceptive use and increase contraceptive prevalence and continuation rates as well as use of more effective methods. The comparison of baseline (1984) and follow-up (1985) survey data in experimental and control villages failed to provide support for these hypotheses. Acceptance of contraceptive use increased by the same rate in experimental and control villages: from 48% to 58%. Moreover couples in the control villages tended to use more effective contraceptive methods than those in the experimental villages even after the counseling program. Use of oral contraception the IUD and female sterilization actually decreased by 5% 1% and 3% respectively in the study villages during the course of the intervention. Similarly there was a greater decline in the fear of side effects among respondents in control than experimental villages. Finally there was no change between the baseline and follow-up surveys in the number of different family planning methods known. Several factors are proposed to account for the apparent failure of the counseling program: the midwives inability to visit the study villages at least monthly; an emphasis on group rather than individual counseling sessions; and competing obligations on the part of the midwives including the provision of curative health services." @default.
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- W628973886 date "1986-01-01" @default.
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- W628973886 title "The implementation of contraceptive counselling services as a strategy to induce contraceptive use." @default.
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